NPPES file of Aug 9, 2026

Heather Balch, M.D.

Hospitalist Physician · Salt Lake City, UT

Heather Balch, M.D. is a hospitalist physician with a practice address in Salt Lake City, Utah, and NPI 1972892404, issued on Apr 5, 2011. Check the license (Utah 8436300-1205, as entered in NPPES) on the Utah Medical Licensing Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1972892404
Name
Heather Balch
Credential
M.D.
Primary taxonomy
Hospitalist Physician 208M00000X
License number
8436300-1205 UT
Self-reported in NPPES; status is on the state search
Practice location
Univ OF Utah Hosp Gen Med Division, Salt Lake City, UT 84132
Phone
(801) 581-7818
Enumerated
Apr 5, 2011
Record last updated
Oct 19, 2021 (not updated in 5 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20150717001143); accepts Medicare assignment
Medical or professional school
University Of New Mexico School Of Medicine, 2011
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Heather Balch in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersUtah Medical Licensing Board
    Search for license 8436300-1205
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Utah license search

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89% fewer Medicare Part D claims than the average hospitalist physician in 2024

56 Medicare Part D claims for 22 beneficiaries, against an average of 521 among the 21,613 providers of this specialty who prescribed in Part D.

  1. Heather Balch56
  2. Specialty average521

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 92.1 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score85.6
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. University OF Utah Adult ServicesSalt Lake City, UT

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Heather Balch among 285 hospitalist physician records in Utah

Heather Balch, M.D. is one of 285 hospitalist physician records with a practice address in Utah. 86% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 44% of them.

  • NPI issued2011 · 44% of these records are older, 52% newer
  • In a Medicare fileYes · 86% of these records are
  • In the CMS Doctors and Clinicians fileYes · 79% of these records are
  • Graduated2011 · median 2012 among the 225 with a school on file
  • Record last updated2021 · 39% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208M00000X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Hospitalist Physician providers in Utah

There are 285 hospitalist physician records in Utah.

The 8 hospitalist physician records with the nearest ZIP codes

  1. Kencee Graves, MDSalt Lake City, UT 841321093031569
  2. Devin Horton, M.D.Salt Lake City, UT 841321629396924
  3. Stacy Johnson, M.D.Salt Lake City, UT 841321841418050
  4. Sara Lamb, MDSalt Lake City, UT 841321134219744
  5. Edmund Liles, MDSalt Lake City, UT 841321831114123
  6. Christine Oberg, M.D.Salt Lake City, UT 841321770693830
  7. Sonja Raaum, MDSalt Lake City, UT 841321457641003
  8. Santosh Reddy, M.D.Salt Lake City, UT 841321154382869

Common questions

What is Heather Balch, M.D.'s NPI number?

Heather Balch, M.D.'s National Provider Identifier (NPI) is 1972892404, issued on Apr 5, 2011. An NPI identifies a provider in billing; it is not a license.

Where is Heather Balch, M.D. located?

The NPPES record lists a practice address at Univ OF Utah Hosp Gen Med Division, Salt Lake City, UT, 84132. Phone: (801) 581-7818. Providers update this record themselves, so call before visiting.

How can I verify Heather Balch, M.D.'s license?

NPPES lists Utah license number 8436300-1205, as entered by the provider. Search the Utah Medical Licensing Board at https://secure.utah.gov/llv/search/index.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Heather Balch, M.D. prescribe under Medicare Part D?

In 2024, Heather Balch, M.D. had 56 Medicare Part D claims for 22 beneficiaries; the average among hospitalist physician prescribers was 521. Part D covers Medicare prescriptions only.

What is Heather Balch, M.D.'s MIPS final score?

The 2023 MIPS final score is 92.1 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.